Form-C Ppf Withdrawal

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FORM-C
APPLICATION FOR WITHDRAWALS UNDER THE
PUBLIC PROVIDENT FUND SCHEME, 1968
The Chief / Branch Manager
State Bank of India
____________________
____________________
I wish to withdraw from my Public Provident Fund Account No…………….………..…………
A sum of
.................... (Rupees……………………………………………………..…Only). A period
of ………. years has expired from the end of the Financial Year in which initial subscription was
made.
2. *Certified, that the amount sought to be withdrawn is required for the use of
………………………………………who is alive and still a Minor.
*(To be given only when withdrawal is sought from a Minor’s PPF Account)
3. The Pass Book is enclosed.
Date:……/……/20…
Signature / Thumb Impression of
(Subscriber / Guardian)
FOR OFFICE USE ONLY
 Date of Initial Subscription
……/……/………….
 Amount Available in PPF Account
…...………………..
 Date on which last withdrawal was allowed
……/……/………….
 Amount Available for withdrawal in accordance
with paragraph 9(1), 9(3) of the Scheme
…………………..
Withdrawal of a sum of
………………. Sanctioned.
Date: ……/……/20…..
Branch / Service Manger
Received a sum of
……………/- (Rupees……………………………………………………………..)
by way of withdrawal from Public Provident Fund Account No…………………………………
( )
*Credit the Amount to my SB A/c No_____________________
Revenue
Stamp
( )
*Issue a DD/BC Favouring ____________________________
*
Tick any One
Signature / Thumb Impression of
Date :……/……/20..…
(Subscriber / Guardian)
SBI FORMS BY 4577825

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